You should have received a packet of information from your physician about Providence Surgery Center regarding your surgery or procedure. To help speed the registration process we ask that fill out the forms located in your folder or you may download the forms listed below and bring the completed forms with you.
For Surgery Patients
Surgery Anesthesia Questionnaire
If you have an Advance Directive or need more information regarding an Advanced Directive during you visit, please click on the link below.
Advanced Directive
For Pain Management Patients
Pain Management Questionnaire
Advanced Directive if you have one.
Other Pertinent Information
Patient's Rights and Responsibilities
Pediatric Rights and Responsibilities
HIPAA or Notice of Information Practices
Ownership
Living Will and Advanced Directive Information
Authorization for Release of Information